'Standardization of Chandra Kala Ras S 'Standardization of Chandra Kala Ras S
Evaluation of its Rakt Stambhana Evaluation of its Rakt Stambhana
property along with anjabar sharbat property along with anjabar sharbat w.s.r. to asrgdar' w.s.r. to asrgdar' Dr. Supriya Shukla, N.D. Scholar Dr. Supriya Shukla, N.D. Scholar Department of Rasa Shastra S Bhaishajya Kalpana Department of Rasa Shastra S Bhaishajya Kalpana NS !D OB]ECTES OF THE NS !D OB]ECTES OF THE STUDY STUDY Compilation Compilation of of various various references references of of Chandrakala Chandrakala Rasa Rasa scattered scattered in in various various classical classical texts texts. . To To ensure ensure the the preparation preparation of of safe safe and and efficacious efficacious Chandrakala Chandrakala Rasa Rasa and and Sharbata Sharbata Anjabar Anjabar. . To To prepare prepare and and process process pharmaceutically pharmaceutically Abhraka Abhraka Bhasma, Bhasma, Tamra Tamra Bhasma, Bhasma, and and last last three three sanskara sanskara of of Hingulottha Hingulottha Parada Parada. . Analytical Analytical study study for for Standardization Standardization of of Chandrakala Chandrakala Rasa Rasa according according to to parameters parameters laid laid down down by by CCRAS CCRAS. . To To explore explore and and compare compare clinically clinically the the Rakta Rakta Stambhana Stambhana property property of of Chandrakala Chandrakala Rasa, Rasa, Sharbata Sharbata Anjabar Anjabar and and Tandulodaka Tandulodaka w w. .ss. .rr to to Asrigdara Asrigdara. . %ELEE!CE !D NPO%T!CE OF P%ESE!T %ELEE!CE !D NPO%T!CE OF P%ESE!T STUDY STUDY study study is is not not planned planned earlier earlier comparing comparing the the effects effects of of the the present present three three drugs drugs used used . . As As the the appropriate appropriate parameters parameters for for standardization standardization of of Chandrakala Chandrakala Rasa Rasa are are yet yet not not decided, decided, therefore therefore its its an an attempt attempt to to contribute contribute in in the the further further research research in in this this area area . . An An attempt attempt is is made made to to establish establish clinically clinically efficacy efficacy of of Chandrakala Chandrakala Rasa Rasa and and Sharbata Sharbata Anjabar, Anjabar, in in the the treatment treatment of of excessive excessive uterine uterine bleeding bleeding. . Clinical Clinical estimation estimation of of the the best best therapy therapy out out of of four four groups groups prepared prepared by by utilizing utilizing three three formulations formulations. . STANDERD!ZAT!ON STANDERD!ZAT!ON Defined as the process of developing and agreeing upon Defined as the process of developing and agreeing upon technical STANDARDS. technical STANDARDS. STANDARD : !s a document that eastablishes uniform STANDARD : !s a document that eastablishes uniform engineering or technical specifications, engineering or technical specifications, criteria, methods, processes or practices. criteria, methods, processes or practices. CHO!CE OF DRUC CHO!CE OF DRUC Chandrakala Chandrakala Ras Ras is is effectively effectively used used in in the the treatment treatment of of Raktapitta Raktapitta and and considered considered as as the the drug drug of of choice, choice, but but its its use use in in the the treatment treatment of of Asrgdar Asrgdar is is not not very very popular popular in in spite spite of of the the fact, fact, that that both both the the diseases diseases have have similar similar line line of of treatment treatment as as evidenced evidenced by by the the reference reference present present in in Sushrut Sushrut Samhita Samhita: : r#.;k Igr~lsIoU;kLreYiksinzoa IHk"kd~ r#.;k Igr~lsIoU;kLreYiksinzoa IHk"kd~ A A iDrIiUkIo/kkusu ;Fkkor~ leqikpisr AA iDrIiUkIo/kkusu ;Fkkor~ leqikpisr AA lq0'kk0 lq0'kk0 2(22 2(22 Hence Hence the the study study is is conducted conducted with with an an attempt attempt to to prove prove the the practical practical implication implication as as well well as as clinical clinical efficacy efficacy of of Chandrakala Chandrakala Ras Ras in in Asrgdar Asrgdar. . ABOUT THE D!SEASE ABOUT THE D!SEASE ASR!CDAR ASR!CDAR Condition characterised by excessive flow of menstrual Condition characterised by excessive flow of menstrual blood . blood . !t refers to all types of abnormal uterine bleeding. !t refers to all types of abnormal uterine bleeding. !n modern aspect it may be correlated to menorrhagia !n modern aspect it may be correlated to menorrhagia and metrorrhagia. and metrorrhagia. Nain pathology bieng the active or passive congestion, Nain pathology bieng the active or passive congestion, which leads to increase in the amount of blood in uterus which leads to increase in the amount of blood in uterus Nainly 4 types are described in classical texts, i.e v, P, K, Nainly 4 types are described in classical texts, i.e v, P, K, S. S. Nain clinical symptoms include ex.bleeding p/v, body Nain clinical symptoms include ex.bleeding p/v, body ache, pain during menstruation. ache, pain during menstruation. Differential diagnosis of the disease Differential diagnosis of the disease Adhoga rakta pitta Adhoga rakta pitta Pittala yonivyapada Pittala yonivyapada Rakta yoni Rakta yoni Putraghni yoni Putraghni yoni Yoni arsha and yoni kanda Yoni arsha and yoni kanda NENSTRUAT!ON NENSTRUAT!ON Def: !t's a normal periodic uterine bleeding, Def: !t's a normal periodic uterine bleeding, physiological function occurring only in physiological function occurring only in female primates. female primates. Normal Aspects : Normal Aspects : Age of onset Age of onset -- 11 to 1Syrs 11 to 1Syrs Termination Termination -- 4S to SSyrs(av.S0yrs) 4S to SSyrs(av.S0yrs) Cycle Cycle -- 28days (21 to 3S) 28days (21 to 3S) Duration Duration -- 3 to Sdays 3 to Sdays Flow Flow -- 20 to 80ml 20 to 80ml Pharmaceutical study Pharmaceutical study Abharak shodhan Abharak shodhan Ref RefAF! PART 1 AF! PART 1 -- 18:1,(R.T. 10/ 20) 18:1,(R.T. 10/ 20) Naterial required Naterial required krishna vajra krishna vajra abhraka abhraka 1.4 kg 1.4 kg triphala 10.Skg triphala 10.Skg water 84 lt water 84 lt Procedure Procedurered hot abhraka red hot abhrakaquenched in quenched in triphala qwatha triphala qwathaprocess repeated 7 times process repeated 7 times Result Result Yield Yield 1.701kg 1.701kg Weight gain Weight gain 21.S% 21.S% Dhanyaabhrikarana Dhanyaabhrikarana reI: AFI.Part reI: AFI.Part- -1,18:1(A.P 2/113 1,18:1(A.P 2/113- -114) 114) Mat.req Mat.req- - shuddha abhraka shuddha abhraka- -1.701 kg 1.701 kg shali dhanya shali dhanya- -425.25 gm 425.25 gm kanii kanii - -5lits 5lits Procedure Procedure- - abhrakapaddy in iute bag abhrakapaddy in iute bag- -immersed in kanii Ior 3 immersed in kanii Ior 3 days days vigrous rubbing oI bag in kanii vigrous rubbing oI bag in kanii- -abhraka collected by abhraka collected by settling and drying settling and drying Result Result- - yield yield- -1550 gms 1550 gms loss loss- -151gm(8.8) 151gm(8.8) Abhraka Narana Abhraka Narana ref: ref: Ra.Chin 4/18 Ra.Chin 4/18- -20 20 Mat.req: Mat.req: shu.abhraka shu.abhraka1SS0gms 1SS0gms Arka Ksheera Arka Ksheera- -10lits 500ml 10lits 500ml Vata iata Kwatha Vata iata Kwatha- -4.5 lits 4.5 lits Procedure Procedurearka ksheera bhawana arka ksheera bhawana chakrika chakrikasharava samputa sharava samputa gajaputa gajaputa process repeated 7times process repeated 7timeslast 3 puta with last 3 puta with vata jata kwatha. vata jata kwatha. Result Resultyield after 10 yield after 10 th th puta puta1S10gm 1S10gm loss loss30gms 30gms Amritikarana of Abhraka Amritikarana of Abhraka Ref:Ra.Chin 4/32 Ref:Ra.Chin 4/3233 33 Nat.req: abhraka bhasma Nat.req: abhraka bhasma1.Sgms 1.Sgms goghrita goghrita1.2kg 1.2kg triphala quatha triphala quatha2.4lits 2.4lits Procedure Procedure above 3in 10:8:16 ratio above 3in 10:8:16 ratio subjected to mild heat subjected to mild heattill ghrita till ghrita digested digesteddark brown granular powder dark brown granular powder obtained. obtained. Result Result yield yield2337gms 2337gms gain gain837gms(S3.8%) 837gms(S3.8%) Tamra Shodhana Tamra Shodhana SANANYA SHODHANA SANANYA SHODHANA Ref:AF!,Part Ref:AF!,Part1,18:S,Sh.Sm.Nk 11/2 1,18:S,Sh.Sm.Nk 11/233 Nat req Nat req copper wire copper wire730gms 730gms tila taila tila taila4.Slits 4.Slits takra takra4.Slits 4.Slits kanji kanji4.Slits 4.Slits gomutra gomutra4.Slits 4.Slits kulthi kwatha kulthi kwatha4.Slits 4.Slits Procedure Procedurered hot wires red hot wiresquenched in above liq.media quenched in above liq.media one by one one by oneprocess to be repeated 3 times. process to be repeated 3 times. Result Resultyield yield770gm 770gm loss loss20gm(2.S%) 20gm(2.S%) v!SHESH SHODHANA v!SHESH SHODHANA Ref:AF!,Part1,18:S,A.P 3/118 Ref:AF!,Part1,18:S,A.P 3/118113 113 Nat.Req Nat.Req samanya shodhita tamra samanya shodhita tamraS00gms S00gms snuhi ksheera snuhi ksheera2S0ml 2S0ml arka ksheera arka ksheera2S0ml 2S0ml saindhava saindhavaS00gms S00gms nirgundi qwatha nirgundi qwatha3lits 3lits Procedure Proceduretamra smeared with tamra smeared with paste(snuhi+arka+saindhava) paste(snuhi+arka+saindhava)heated till redhot heated till redhot quenched in nirgundi qwath quenched in nirgundi qwathprocess repeated 3 times. process repeated 3 times. Result Result yield yield6S1.Sgms 6S1.Sgms gain gain1S1.S(30.S%) 1S1.S(30.S%) Tamra Narana Tamra Narana !ncludes 4 procedure !ncludes 4 procedure 1.Shodhana 1.Shodhana a.samanya a.samanya b.vishesh b.vishesh 2.jarana 2.jarana 3.marana 3.marana 4.amritikarana 4.amritikarana Tamra Narana Tamra Narana Ref:AF!,Part1,18:S,Sh.Sm.Nk 11/20 Ref:AF!,Part1,18:S,Sh.Sm.Nk 11/2030 30 Step wise processing involved : Step wise processing involved : a. gandhaka jarana a. gandhaka jarana b. dhatu pisti formation b. dhatu pisti formation c. golaka formation covering with gandhaka and c. golaka formation covering with gandhaka and punernava kalka punernava kalka d. puta paka for 12hrs d. puta paka for 12hrs e. putapaka in gajaputa thrice e. putapaka in gajaputa thrice f. amritikarana in surana kanda f. amritikarana in surana kanda Tamra Narana Tamra Narana Swedana of copper wires in amla drava Swedana of copper wires in amla drava Nat.Req Nat.Req shu.tamra shu.tamraS00gms S00gms kanji kanjiS.6lits S.6lits Procedure Procedureheating wires in kanji on 60 heating wires in kanji on 6070 70 degrees degreeswashed with warm water washed with warm water dried. dried. Result Result yield yield 487.40 487.40 loss loss12.60(2.S%) 12.60(2.S%) Tamra Narana Tamra Narana ]arana ]arana Nat.Req Nat.Req tamra after amla paka tamra after amla paka487.40gms 487.40gms shu.gandhaka shu.gandhakaS78gms S78gms Result Result yield: 814.40gms yield: 814.40gms Dhatu Pishti Dhatu Pishti Nat.Req Nat.Req shu.sans.parada shu.sans.parada12Sgms 12Sgms jarita tamra jarita tamra 814.40 814.40 Result Result yield: 304gms yield: 304gms loss: 3Sgms loss: 3Sgms Tamra Narana Tamra Narana Colaka formation for 12hrs paka Colaka formation for 12hrs paka Nat.req Nat.req dhatu pishti dhatu pishti304gms 304gms neembu swarasa neembu swarasaS00ml S00ml shu.gandhaka shu.gandhaka1000gms 1000gms punernava punernavaS00gms S00gms gum acacia gum acacia100gms 100gms saindhava saindhava1S0gms 1S0gms Result Result yield: 670gms yield: 670gms Tamra Narana Tamra Narana Putapaka 1 Putapaka 1 st st Nat.Req Nat.Req tamra after 12hrs paka tamra after 12hrs paka640gms 640gms shu.gandhaka shu.gandhaka320(1/2 0f wt of tamra) 320(1/2 0f wt of tamra) suranakand swarasa suranakand swarasa22Sml 22Sml go ghrita go ghrita67gms 67gms Procedure Procedure bhavana of surana swarasa bhavana of surana swarasa golaka formed golaka formedgandhaka smeared gandhaka smearedgajaputa. gajaputa. Result Result yield after 3 yield after 3 rd rd puta putaS88gms S88gms loss loss 1Sgms(2.4%) 1Sgms(2.4%) Result of three putapaka at a glance Result of three putapaka at a glance $.No. Wt oI cowdung cakes Wt beIore puta paka Wt aIter putapaka Gain/los s Kalka Tamra golaka Kalka Tamra golaka Puta I 4.722 kg 185.80 gm 640 gm 42.0 gm 572gm -68gms Puta II 4.288 kg 42 gm 562 gm 36.80 gm 613gm 51gms Puta III 6.999 kg. 36.80 gm 603gm 31.50 gm 588gm -15gms Amritikarana of Tamra Bhasma Amritikarana of Tamra Bhasma Ref:AF!,Part1,18:S,R.T 17/40 Ref:AF!,Part1,18:S,R.T 17/4041 41 Nat.Req Nat.Req tamra bhasma tamra bhasmaS78gms S78gms shu.gandhaka shu.gandhaka283(1/2 of wt of tamra) 283(1/2 of wt of tamra) neembu swarasa neembu swarasa200ml 200ml surana kanda surana kanda2 nos.(Skg) 2 nos.(Skg) Result Result yield:706.40gms yield:706.40gms gain:107.40(18%) gain:107.40(18%) Hingulotha Parada Hingulotha Parada Ref:AF!,Part1,App.2,Rm. 1/16 Ref:AF!,Part1,App.2,Rm. 1/1617 17 Nat.Req Nat.Req hingula hingula17S0gms 17S0gms neembu swarasa neembu swarasaq.s q.s Procedure Procedureshodhana with neebu swarasa shodhana with neebu swarasa kept in U.P yantra kept in U.P yantrativra agni 6hrs tivra agni 6hrsblack black powder in U.pot powder in U.potsieved thru 4 layer cloth sieved thru 4 layer cloth globules obtained. globules obtained. Result Result yield of Hg: 631gms(36%) yield of Hg: 631gms(36%) Parada Sanskara Parada Sanskara BODHANA BODHANA Ref:AF!,Part1,App.2,R.Chu 4/88 Ref:AF!,Part1,App.2,R.Chu 4/88 Nat.Req Nat.Req hingulotha parada hingulotha paradaS00gms S00gms saindhava saindhava1S6.2Sgms 1S6.2Sgms water water7S0ml 7S0ml vatapatra vatapatraas required as required Result Result yield:467gms yield:467gms loss:33gms(6.6%) loss:33gms(6.6%) Parada Sanskara Parada Sanskara N!YANANA N!YANANA Ref:AF!,Part1,App.2,R.H.T 2/10 Ref:AF!,Part1,App.2,R.H.T 2/10 Nat.Req Nat.Req Bodhita parada Bodhita parada23gms 23gms lasuna lasuna23gms 23gms nagvalli nagvalli23gms 23gms ambuja ambuja23gms 23gms karkoti karkotinot found not found markava markava23gms 23gms chincha phala chincha phala23gms 23gms kanji kanjiq.s q.s Result Result yield:4S6.60gms yield:4S6.60gms loss:10.4gms(2.2%) loss:10.4gms(2.2%) Parada Sanskara Parada Sanskara DEEPANA DEEPANA Ref:AF!,Part2,App.2,R.H.T 2/11 Ref:AF!,Part2,App.2,R.H.T 2/11 Nat.Req Nat.Req niyamita parada niyamita parada4S6.60gms 4S6.60gms sphatika sphatika28.S0gms 28.S0gms shu.kasisa shu.kasisa28.S0gms 28.S0gms shu.tankana shu.tankana28.S0gms 28.S0gms maricha maricha28.S0gms 28.S0gms lavana lavana28.S0gms 28.S0gms asuri asuri28.S0gms 28.S0gms shigru beej shigru beej28.S0gms 28.S0gms kanji kanjiq.s q.s Result Result yield yield4S4.40gms 4S4.40gms loss loss2.20gmss 2.20gmss PREPARAT!ON OF CHANDRAKALA RASA PREPARAT!ON OF CHANDRAKALA RASA Ref:AF!,Part1,20:1S,Y.R,mk.chi,sh.74 Ref:AF!,Part1,20:1S,Y.R,mk.chi,sh.7482gms 82gms Nat.req Nat.req shu.sans.parada shu.sans.parada410gms 410gms tamra bhasma tamra bhasma410gms 410gms abhraka bhasma abhraka bhasma410gms 410gms shu.gandhaka shu.gandhaka820gms 820gms Bhawana Drugs Bhawana Drugs musta kwatha musta kwatha14lits 14lits dadima swarasa dadima swarasa14lits 14lits durva kwatha durva kwatha14lits 14lits ketaki kwatha ketaki kwatha14lits 14lits kumari kwatha kumari kwatha14lits 14lits sahdevi kwatha sahdevi kwatha14lits 14lits parpata kwatha parpata kwatha14lits 14lits Ramsheetalika kwatha Ramsheetalika kwatha14lits 14lits shatavari kwatha shatavari kwatha14lits 14lits draksha kwatha draksha kwatha14lits 14lits Prakshepa Drugs Prakshepa Drugs tikta tikta400gms 400gms guduchi satva guduchi satva400gms 400gms parpata parpata400gms 400gms ushira ushira400gms 400gms madhavi madhavi400gms 400gms sh.chandana sh.chandana400gms 400gms sh.sariva sh.sariva400gms 400gms PREPARAT!ON OF CHANDRAKALA RASA PREPARAT!ON OF CHANDRAKALA RASA Table showing wt of extract value added by decoctions Table showing wt of extract value added by decoctions Name Name % Extract % Extract Wt of 14lit qwatha Wt of 14lit qwatha 1.Nusta 1.Nusta 44 S60gm S60gm 2.Dadima 2.Dadima 14.6 14.6 2.044kg 2.044kg 3.Durva 3.Durva 22 280gm 280gm 4.Ketaki 4.Ketaki 33 420gm 420gm S.Sahdevi S.Sahdevi 44 S60gm S60gm 6.Kumari 6.Kumari 3.1 3.1 434gm 434gm 7.Parpata 7.Parpata 44 S60gm S60gm 8.Ramsheetalika 8.Ramsheetalika 44 S60gm S60gm 3.Shatavari 3.Shatavari 77 2.380kg 2.380kg 10.draksha 10.draksha 41.3 41.3 S.782kg S.782kg total total 87 87 13.S80kg 13.S80kg Procedure Procedure 1.formation of dhatu kajjali and its division into 3 1.formation of dhatu kajjali and its division into 3 respective samples. respective samples. 2.seven bhawana of ten drugs each in form of 2.seven bhawana of ten drugs each in form of rasakriya in the 3 samples. rasakriya in the 3 samples. 3.addition of prakshepa drugs in the 3 samples. 3.addition of prakshepa drugs in the 3 samples. 4.drying in shade to obtain req. consistensy. 4.drying in shade to obtain req. consistensy. S.formation of pill using go ghrita. S.formation of pill using go ghrita. Result and observation Result and observation 1.final yield after making pills 1.final yield after making pills sample 1 sample 1 st st S.346kg S.346kg sample 2 sample 2 nd nd S.336kg S.336kg sample 3 sample 3 rd rd S.400kg S.400kg PREPARAT!ON OF CHANDRAKALA RASA PREPARAT!ON OF CHANDRAKALA RASA Physical characteristics of pills in 3 samples Physical characteristics of pills in 3 samples 1.color 1.color -- black black 2.odour 2.odour -- sweet smell of its own kind sweet smell of its own kind 3.taste 3.taste -- mild sweet and mainly tikta mild sweet and mainly tikta 4.appearance 4.appearance -- smooth having sticky ,elastic nature smooth having sticky ,elastic nature S.solubility S.solubility -- dissolves in water leaving behind residue dissolves in water leaving behind residue 6.Ph 6.Ph -- 6.S 6.S Extract value added in the final product Extract value added in the final product (A).Probable yield of chandrakala rasa : 18.380kg (A).Probable yield of chandrakala rasa : 18.380kg wt. of ext. of bhawana drugs wt. of ext. of bhawana drugs 13.S80kg 13.S80kg where wt of prakshepa drugs where wt of prakshepa drugs 2.8 kg 2.8 kg wt of kajjali wt of kajjali 2kg 2kg (B). Actual yield of chandrakala rasa obtained : 16.082kg (B). Actual yield of chandrakala rasa obtained : 16.082kg App. Wt of ext. of bhawana drugs App. Wt of ext. of bhawana drugs 11.282kg 11.282kg where wt of prakshepa drugs where wt of prakshepa drugs -- 2.8kg 2.8kg wt of kajjali wt of kajjali 2kg 2kg PREPARAT!ON OF CHANDRAKALA RASA PREPARAT!ON OF CHANDRAKALA RASA Anjabar sharbata Anjabar sharbata Ref: NFUN, vol.2, pg.21 Ref: NFUN, vol.2, pg.21 Nat.Req Nat.Req -- 1.anjabar mula 1.anjabar mula -- 7kg 7kg 2.kharnoob shami 2.kharnoob shami -- Skg Skg 3.burada sandal surkh 3.burada sandal surkh -- 2kg 2kg 4.burada sandal safaid 4.burada sandal safaid -- 2kg 2kg S.habb S.habbul ulaas aas -- 2kg 2kg 6.aab 6.aabeeahantab ahantab -- 100lits (Skg Fe turnings used) 100lits (Skg Fe turnings used) 7.quand sufaid 7.quand sufaid -- 7Skg 7Skg Observation and Result Observation and Result color color voilet voilet taste taste madhur amla kashaya madhur amla kashaya yield yield 8Slits 8Slits Result Result loss of wt = probable yield loss of wt = probable yield -- actual yield actual yield = 18.380 = 18.380 -- 16.082 16.082 = 2.238kg = 2.238kg % of loss = 12.S% % of loss = 12.S% 5alytical study 5alytical study ANALYT!CAL STUDY ANALYT!CAL STUDY Samples a5alysed Samples a5alysed 3 samples of chandrakala rasa 3 samples of chandrakala rasa abhraka bhasma abhraka bhasma tamra bhasma tamra bhasma Parameters Parameters Organoleptic characters Organoleptic characters -- color, odour, taste, touch, varitaratva, color, odour, taste, touch, varitaratva, rekhapurnatva, nishchandratva. rekhapurnatva, nishchandratva. Psysicochemical Psysicochemical -- LOD, Av, A!A, ASE, WSE, DT. LOD, Av, A!A, ASE, WSE, DT. Elemental assay Elemental assay -- AAS, XRD AAS, XRD Others Others -- Nicrob. Limit test, carbohydrate estimation Nicrob. Limit test, carbohydrate estimation Table showing Organoleptic characters of 3 samples of Chandrakala rasa S.No. Parameters Observation S1 S 2 S 3 1 Colour lack lack lack 2 Odour $weet smell $weet smell $weet smell 3 Touch $oIt smooth, compressible $oIt smooth, compressible $oIt smooth, compressible 4 Taste Tikta, madhur Tikta, madhur Tikta, madhur 5 pH 6.S 6.S 6.S 6.S 6.S 6.S Table showing organoleptic characters of Abhraka Bhasma in different stages of processing S. No Parameters After shodhana After Dhanya -bhrikarma After I puta After 10 th puta After amritikarana 1 Colour lack Grayish black Mostly grey with orange patches rick red CoIIee brown 2 Odour Odourless Mild unpleasing odour Odourless Colourless Odourless 3 Touch Coarse powder moderately Fine powder Fine Very Iine Granular 4 Taste Astringent Astringent Mild $alty Mild $alty Tasteless 5 Appearance $hiny $hiny $hiny Diminishe d shine shine dissappeared 6 Rekhapurnata 7 Variataratva partially Table showing organoleptic characters of Tamra Bhasma in different stages of processing S. No Parameters After 1arana After 12 hrs pultapaka After 3 rd puta After Amriti karana 1 Colour lack lack lack lack 2 Odour Odourless Odourless Odourless Odourless 3 Touch Coarse powder Moderately Iine Fine Very Iine 4 Taste Metallic/ kashaya Tasteless Tasteless Tasteless 5 Appearance Mild Haziness $hiny $hiny $hiny 6 Rekha purnata
7 Varitaratva Partially - 8 Dadhi Pareekesha Marked blue discolouration $light bluish discolouration No discolouration No discolouration Table showing physicochemical parameters of Chandrakala rasa. S.No. Parameters Sample 1 Sample -2 Sample 03 Mean 1 Description lack colour lack colour lack colour 2 Loss on drying 5.12 4.39 4.59 4.7 3 Water soluble Ash 12.59 14.43 13.66 13.56 4 Acid Insoluble Ash 2.51 3.14 2.36 2.67 5 Alcohol soluble extractive 41.01 36.0 42.24 39.75 6 Total Ash 18.85 18.24 14.18 17.09 7 Disintegration time 18 22 min 18 20 min 18 21 min 20 min 8 Carbohydrate 44.11 40.82 45.0 43.31 9 $ulphur 2.25 3.04 3.55 2.95 10 Mercury 0.39 0.36 0.38 0.38 S.No. Parameters Sample 1 Sample -2 Sample 03 Mean 11 Copper 0.59 0.56 0.58 0.58 12 Iron 0.07 0.06 0.05 0.06 13 Lead 0.001 0.001 0.001 0.001 14 Arsenic 0.0003 0.0003 0.0003 0.0003 15 Magnesium 0.09 0.08 0.08 0.083 16 $odium 0.3 0.3 0.3 0.3 17 Potassium 1.45 1.46 1.45 1.45 18 Zinc 0.01 0.01 0.01 0.01 19 Microbial analysis $taphylococcus Aureus E. coli $almonella spp. Pseudomonas aeruginosa Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Absent Table showing Elemental analysis of Abhraka Bhasma through A.A.S. S.No. Test Parameter Results 1 Description lack Colour 2 $ulphur 1.23 3 Iron 0.47 4 Arsenic 0.0004 5 Lead Not detected 6 Zinc 0.097 7 Cadmium 0.0004 8 Aluminum Not detected 9 Magnesium 0.19 10 Manganese 0.05 11 Mercury 0.003 Table showing Elemental analysis of Tamra Bhasma through A.A.S. S.No. Test Parameter Results 1 Description lack Colour 2 $ulphur 27.40 3 Copper 1.1 4 Mercury 0.23 5 Lead 0.02 6 Arsenic 0.006 7 $odium 0.001 8 Potassium 0.18 9 Zinc 0.004 10 Cadmium 0.00002 11 Iron 0.33 Cli5ical Study Cli5ical Study Diag5ostic Criteria Diag5ostic Criteria Clinical signs S symptomatology viz Clinical signs S symptomatology viz Amount of flow of menstrual blood. Amount of flow of menstrual blood. Duration of flow of menstrual blood. Duration of flow of menstrual blood. Assessment of inter menstrual period Assessment of inter menstrual period Body Ache (Angamarda) Body Ache (Angamarda) Weakness (Dourbalya) Weakness (Dourbalya) Pallor (Pandutva) Pallor (Pandutva) Burning sensation in body (Daha) Burning sensation in body (Daha) Protocol includes 37 patients in 4 different Protocol includes 37 patients in 4 different groups using randomised single blind trial groups using randomised single blind trial method. method. Criteria for i5clusio5 Criteria for i5clusio5 Patient aged between 12 to S0yrs of life Patient aged between 12 to S0yrs of life Cases of bleeding P/v specifically endometrial bleeding Cases of bleeding P/v specifically endometrial bleeding Bleeding caused by DUB, fibroid, adenomyosis and P!D Bleeding caused by DUB, fibroid, adenomyosis and P!D Lab invest. to rule out any organic or systemic disease Lab invest. to rule out any organic or systemic disease USC USC Blood Blood Hb%, TLC, DLC, ESR, CT, BT, RBS Hb%, TLC, DLC, ESR, CT, BT, RBS Criteria Criteria for for exclusio5 exclusio5 Patients of Age < 12 years S above S0 yrs of life. Patients of Age < 12 years S above S0 yrs of life. Patients suffering from severe anemia Hb < 4 gm % Patients suffering from severe anemia Hb < 4 gm % Systemic cause Systemic cause Severe hypertension Severe hypertension Liver dysfunction Liver dysfunction Hypo dysfunction Hypo dysfunction Congestive cardiac failure. Congestive cardiac failure. Patient having bulky ulterus more than 8 week size. Patient having bulky ulterus more than 8 week size. Patient using !UCD. Patient using !UCD. Patients having bleeding from sites other than uterus Patients having bleeding from sites other than uterus Patients having coagulation disorder Patients having coagulation disorder)) POSOLOGY Group Drug Administered Dose Vehicle Time oI administration Duration oI treatment 1 a)Chandrakala Rasa b)$harbata Aniabar 1 gm 25 ml Tandulodaka Water Empty stomach twice a day 3 menstrual cycle or 3 months. 2 a)Chandrakala Rasa 1 gm Tanduladaka Empty stomach twice a day 3 menstrual cycle or 3 months. 3 a)$harbat Aniabar 25 ml Water Empty stomach twice a day 3 menstrual cycle or 3 months. 4 a)Tandulodaka 200 ml Empty stomach twice day 3 menstrual cycle or 3 months. Follow Up Study Follow Up Study ll ll patie5ts patie5ts were were regularly regularly a5alyzed a5alyzed every every 1S 1S days days till till the the e5d e5d of of trial trial CL!CL SSESSNE!T CL!CL SSESSNE!T patients patients were were assessed assessed for for rakta rakta stambhana stambhana property property on on the the basis basis of of symptom symptom rating rating score score AMOUNT OF FLOW Intensity of bIeeding Grade ess than 15 pads / cycle - 0 15 to 20 pads / cycle - 1 20 to 25 pads / cycle - 2 More than 25 / cycle - 3 DURATION OF FLOW OR MENSTRUAL PERIOD Days of bIeeding Grade ess than 6 days - 0 ess than 8 days - 1 8 to 9 days - 2 10 & More than 10 days - 3 INTER MENSTRUAL PERIOD IntervaI between two periods / cycIe Grade Once in 26 28 days - 0 Once in 21 25 days - 1 Once in 16 20 days - 2 up to 15 days or rregular - 3 BODY ACHE Grading of pain Score Occasionally on doing Heavy work - 0 After doing extra work - 1 After doing Routine work - 2 Even without Routine work - 3 PALLOR Grading for paIIor Score Normal - 0 Mild - 1 Moderate - 2 Severe - 3 BURNING SENSATION IN BODY (DAHA) Grading for Burning sensation Score No burning - 0 Occasional mild burning - 1 Often mild burning - 2 Severe burning - 3 TabIe No. 14 showing TotaI effect of therapy in 37 Patients Criteria for Criteria for assessme5t assessme5t No. of Patients Group I Group II Group III Group IV No. No. No. No. Marked Improvement 2 20 1 10 1 10 - - Moderate Improvement 4 40 3 30 - - 2 28.57 Mild Improvement 4 40 4 40 6 60 4 57.14 No Improvement - - 2 20 3 30 1 14.29 TotaI effect of therapy in 37 patients (Subjective Symptoms) Groups Total Effects () Group I 69.6 Group II 63.2 Group III 46.8 Group IV 57.9 RESULT RESULT Statistical analysis of 4 groups on subjectives parameters Statistical analysis of 4 groups on subjectives parameters shows: shows: CROUP 1 CROUP 1 ST ST -- Nax relief in !NP(32.31%), 6 out of 7 symptoms were Nax relief in !NP(32.31%), 6 out of 7 symptoms were relieved. relieved. CROUP 2 CROUP 2 ND ND Nax relief in BURN!NC(100%), S out of 7 symptoms Nax relief in BURN!NC(100%), S out of 7 symptoms were relieved. were relieved. CROUP 3 CROUP 3 RD RD Nax relief in DURAT!ON(81.2S%), 3 out of 7 Nax relief in DURAT!ON(81.2S%), 3 out of 7 symptoms were cured. symptoms were cured. CROUP 4 CROUP 4 TH TH -- Nax relief in FLOW(78.S7%), 1 out of 7 was cured Nax relief in FLOW(78.S7%), 1 out of 7 was cured. . !ntergroup comparision revealed !ntergroup comparision revealed NON S!CN!F!CANT NON S!CN!F!CANT result result of all the parameters, except for body pain of all the parameters, except for body pain Total effect of therapy in descending order: group 1 Total effect of therapy in descending order: group 1 st st , , group 2 group 2 nd nd group group 4th 4th , group 3 , group 3 rd rd . . Discussion Discussion Discussio5 o5 Co5ceptual study Discussio5 o5 Co5ceptual study First First reI reI.. oI oI chandrakala chandrakala rasa rasa was was Iound Iound in in RR..RR..$ $ ( ( 13 13 th th century) century).. Chandrakala Chandrakala Rasa Rasa is is prepared prepared Iollowing Iollowing the the method method prescribed prescribed in in AFI AFI with with required required changes changes in in the the $ $..O O..P P.. Iollowing Iollowing its its legal legal notice notice.. It It has has three three mains mains aspect aspect regarding regarding $ $..O O..P P.. which which are are Dhatu Dhatu kaiiali kaiiali Iormation, Iormation, hawana hawana Iollowed Iollowed by by addition addition oI oI prakshepa prakshepa drugs drugs.. Addition Addition oI oI prakshepa, prakshepa, aIter aIter the the hawana hawana is is the the evidence evidence oI oI rational rational scientiIic scientiIic approach approach as as this this makes makes handling handling && processing processing easy,increases easy,increases cost cost eIIiciency, eIIiciency, saves saves labour labour and and time time.. Its Its an an ee..gg.. .. oI oI drug drug prepared prepared Iollowing Iollowing the the concept concept in in Ra Ra..Chin Chin 66//38 38- -39 39 ii..ee.. in in aa Iormulation Iormulation parada parada should should be be used used with with abhraka abhraka and and lauha lauha Ior Ior DEHA DEHA ANDHA ANDHA.. A A total total oI oI 66 path path oI oI M M..chandrakala chandrakala rasa rasa and and 55 path path oI oI Chandrakala Chandrakala rasa rasa were were Iound Iound.. Compilation Compilation oI oI 36 36 classical classical text text having having reIs reIs.. OI OI the the drug drug has has been been done done ,, out out oI oI which which ------ ------ were were schedule schedule books books.. Discussion on pharmaceutical study Discussion on pharmaceutical study Difficulty was faced in kajjali formation due to greasiness of sulphur and Difficulty was faced in kajjali formation due to greasiness of sulphur and abhraka bhasma. abhraka bhasma. Kajjali was not lustureless due to shine of tamra bhasma ,justified by Kajjali was not lustureless due to shine of tamra bhasma ,justified by ref. of SACHANDRA tamra bhasma in R.Sam ref. of SACHANDRA tamra bhasma in R.Sam. . Aspects regarding bhawana to maintain uniformity in procedure: Aspects regarding bhawana to maintain uniformity in procedure: 1. Equal amount of liq. By wt. of substance is sufficient for bhavana 1. Equal amount of liq. By wt. of substance is sufficient for bhavana in case of metallic bhasmas. in case of metallic bhasmas. 2. Ouatha was made following ANUKALP vidhi for swarasa(1:8 2. Ouatha was made following ANUKALP vidhi for swarasa(1:8 ) ) and ratio of (1:4 and ratio of (1:4 -- ) for NR!DU dravya. ) for NR!DU dravya. 3. Bhawana was given in form of RASAKR!YA due to paucity of time 3. Bhawana was given in form of RASAKR!YA due to paucity of time and to facilitate quick drying and to facilitate quick drying. . Total increase in the final product was found to be 8 times the wt.of Total increase in the final product was found to be 8 times the wt.of starting material (Dhatu kajjali starting material (Dhatu kajjali2kg) 2kg) There was loss of 2.238kg in the final yield may be due to: There was loss of 2.238kg in the final yield may be due to: 1. improper settling of liq. Nedia. 1. improper settling of liq. Nedia. 2. error of calibration , measurement or calculation. 2. error of calibration , measurement or calculation. 3. handling loss. 3. handling loss. PHYSICOCHEMICAL PHYSICOCHEMICALANALYSIS ANALYSIS $amples $amples oI oI the the drug drug were were proved proved sterile sterile aIter aIter microbial microbial analysis,may analysis,may be be due due to to bacteriocidal bacteriocidal or or bacteriostatic bacteriostatic property property inherent inherent in in herbomineral herbomineral Iormulations Iormulations.. Values Values oI oI LOD LOD ( (44..77 w/w), w/w), AV AV ( (17 17..09 09 w/w) w/w) and and AIA AIA ( (22..67 67 w/w) w/w) lies lies with with in in the the reI reI.. range range in in the the monograph monograph oI oI DRUG DRUG as as per per CCRA$ CCRA$.. ELEMENTAL ELEMENTALANALYSIS ANALYSIS Lead Lead is is Iound Iound to to be be present present in in the the permissible permissible limits limits and and negligible negligible increase increase ( (11..47 47ppm) ppm) was was observed observed in in range range oI oI arsenic arsenic in in samples samples oI oI ckl ckl rasa rasa.. Apart Apart Irom Irom mercury mercury and and sulphur, sulphur, presence presence oI oI other other elements elements may may be be contributed contributed by by the the decoction decoction oI oI herbal herbal drugs drugs Following Following elements elements were were present present in in the the samples samples oI oI tamra tamra as as well well as as abhraka abhraka bhasma bhasma $, $, Fe, Fe, As, As, Zn, Zn, Cd, Cd, Hg Hg.. Elements Elements like like Mg Mg and and Mn Mn were were Iound Iound only only in in abhraka abhraka bhasma bhasma were were as as Cu, Cu, Na Na and and K K only only in in tamra tamra bhasma bhasma.. XRD XRD analysis analysis oI oI chandrakala chandrakala rasa rasa:: sulphur( sulphur(70 70 ), ), Hg$( Hg$(20 20 ), ), Cu$( Cu$(10 10 ) ).. Discussio5 O5 5alytical Study Discussio5 O5 5alytical Study Discussio5 o5 Cli5ical study Discussio5 o5 Cli5ical study On comparing the eIIectiveness oI the Iour Groups it was Iound On comparing the eIIectiveness oI the Iour Groups it was Iound that the relieI in symptoms was clinically signiIicant in all the Iour that the relieI in symptoms was clinically signiIicant in all the Iour Groups but statistically it was proved non Groups but statistically it was proved non- -signiIicant, this may be signiIicant, this may be attributed to the Iact that although random sampling was done but attributed to the Iact that although random sampling was done but incidentally, most oI the cases with severe underlying pathology incidentally, most oI the cases with severe underlying pathology were Grouped under Group I and also due to small sample size in were Grouped under Group I and also due to small sample size in the present study. the present study. II the eIIect oI trial drugs on subiective symptoms is summarized, II the eIIect oI trial drugs on subiective symptoms is summarized, it can be inIerred that the drugs in Group I (69.6) and Group II it can be inIerred that the drugs in Group I (69.6) and Group II (63.2) are better remedy in treating the disease condition, (63.2) are better remedy in treating the disease condition, although there is not much variation in the percentage oI change in although there is not much variation in the percentage oI change in the two therapies, signiIies that the role oI Aniabar $harbat is not the two therapies, signiIies that the role oI Aniabar $harbat is not much signiIicant in treating the disease. Further it implies that much signiIicant in treating the disease. Further it implies that Tandulodaka in the Iorm oI Anupana as well as in the Iorm oI Tandulodaka in the Iorm oI Anupana as well as in the Iorm oI single drug produced remarkable results. single drug produced remarkable results. NODE OF ACT!ON NODE OF ACT!ON Pharmacokinetic depends on panchmahabhuta Pharmacokinetic depends on panchmahabhuta configuration,dealing with S aspects:rasa, guna, configuration,dealing with S aspects:rasa, guna, veerya, vipaka and prabhava. veerya, vipaka and prabhava. Action of compound formulation action depends on Action of compound formulation action depends on factor: factor: a. prakriti samsamveta or vikritivisham samveta a. prakriti samsamveta or vikritivisham samveta b. incompatibilities like mana, guna and karma b. incompatibilities like mana, guna and karma virrudha. virrudha. c. samnya pratyarabdha or vichitra pratyarabdha. c. samnya pratyarabdha or vichitra pratyarabdha. Kramana (anupana) brings about quick action and Kramana (anupana) brings about quick action and increases bioavailability of the drug. increases bioavailability of the drug. Dhatu kajjali ,as a chief content possess rasayana Dhatu kajjali ,as a chief content possess rasayana property and acts as yogavahi. property and acts as yogavahi. NODE OF ACT!ON NODE OF ACT!ON AYUvED!C ATTR!BUTES OF CHANDRAKALA RASA AYUvED!C ATTR!BUTES OF CHANDRAKALA RASA Rasa Rasa madhura, tikta, kashya madhura, tikta, kashya Cuna Cuna -- laghu, snigdha laghu, snigdha veerya veerya -- sheeta sheeta vipaka vipaka -- madhura madhura Karma Karma -- rasayana, yogavahi, deepana, rasayana, yogavahi, deepana, pachana, mootrajanana, raktapittahara, rakt pachana, mootrajanana, raktapittahara, rakt shodhaka, daha prashmana, rakta vardhaka.s shodhaka, daha prashmana, rakta vardhaka.s SANPRAPT! CHATAKA SANPRAPT! CHATAKA Dosha Dosha -- pitta and vata pitta and vata Dushya Dushya -- rasa and rajah rasa and rajah Adhisthana Adhisthana -- garbhashaya garbhashaya Shrotusa Shrotusa -- artavavahi shrotusa artavavahi shrotusa Dushti prakrana Dushti prakrana -- vimarga gamana vimarga gamana atipravritti atipravritti Roga marga Roga marga -- abyantara abyantara NODE OF ACT!ON NODE OF ACT!ON DOSHA DOSHA vATA vATA -- madhur vipaka, snigdha and rasayana guna madhur vipaka, snigdha and rasayana guna P!TTA P!TTA sheeta veerya sheeta veerya DUSHYA DUSHYA RA]AH RA]AH -- rakta shodhaka, raktaprasadaka drugs rakta shodhaka, raktaprasadaka drugs RASA RASA -- deepana pachana drugs deepana pachana drugs AD!STHANA ,SHROTUSA AD!STHANA ,SHROTUSA CARBHASHAYA AND RA]OvAH! SHROTUSA CARBHASHAYA AND RA]OvAH! SHROTUSA -- shothahara, shothahara, ropana, lekhana, sandhaniya, vranaropana, laghu guna. ropana, lekhana, sandhaniya, vranaropana, laghu guna. DUSHT! PRAKRANA DUSHT! PRAKRANA AT!PRAvR!TT! AT!PRAvR!TT! -- Rakt stambhaka drugs, rakt vardhaka Rakt stambhaka drugs, rakt vardhaka Co5clusio5 Co5clusio5 1. Iirst description oI chandrakala rasa Iound in R.R.$ (13th Century) 2. medicine should be manuIactured implying GMP and $OP to prevent contamination oI any sort. 3. analytical study oI chandrakala rasa revealed the uniIormity oI the procedures in the three samples . 4. Absence oI live pathogen in samples oI drug proves the acteriostatic, acteriosidal eIIect oI Herbominaral Iormulation 5. Increase oI Iinal product is estimated to be eight 5. Increase oI Iinal product is estimated to be eight times the weight oI dhatu kaiiali. times the weight oI dhatu kaiiali. 6. All three Ayurvedic preparations did not impart any 6. All three Ayurvedic preparations did not impart any side eIIect, esp. chandrakala rasa . side eIIect, esp. chandrakala rasa . 7. Clinical $tudy shows haemostatic potential oI all the 7. Clinical $tudy shows haemostatic potential oI all the drugs in Iour groups with better results in group I drugs in Iour groups with better results in group I and Group II . and Group II . 8. Combination oI drugs in Group I proved to be the 8. Combination oI drugs in Group I proved to be the best remedy Ior treating the symptoms oI Asrigdara best remedy Ior treating the symptoms oI Asrigdara as 6 out oI 7 were cured. as 6 out oI 7 were cured. 9. All 3 trial drugs esp. chandrakala rasa was well 9. All 3 trial drugs esp. chandrakala rasa was well tolerated at the given dose ,with out any undesirable tolerated at the given dose ,with out any undesirable side eIIect. side eIIect. THANK YOU THANK YOU